A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Hypoactive bowel sounds

Reduced abdominal tenderness

Elevated blood pressure

Increased abdominal rigidity

Answer and Explanation

The Correct Answer is D

Choice A reason:

A perforated peptic ulcer can lead to localized peritonitis, which may cause abdominal rigidity and guarding, rather than hypoactive bowel sounds.

Choice B reason:

Reduced abdominal tenderness is not expected in a client with a perforated peptic ulcer. Abdominal tenderness is likely to be present due to inflammation and irritation of the peritoneal lining.

Choice C reason:

Elevated blood pressure is not a typical finding in a client with a perforated peptic ulcer. The client may experience hypotension due to fluid loss and hemorrhage.

Choice D reason:

This statement is correct. A perforated peptic ulcer can cause increased abdominal rigidity due to the inflammation and irritation of the peritoneal lining. The abdomen may feel tense and rigid upon palpation.

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Correct Answer is D

Explanation

Choice A reason:

Consumption of spicy foods and carbonated beverages may exacerbate symptoms in individuals with peptic ulcer disease, but they are not direct risk factors for developing the condition.

Choice B reason:

Regular consumption of yogurt and probiotics may promote gastrointestinal health, but they are not specifically risk factors for peptic ulcer disease.

Choice C reason:

Frequent use of antacids for heartburn relief may indicate underlying acid-related issues, but it is not a risk factor for peptic ulcer disease.

Choice D reason:

This statement is correct. Long-term use of NSAIDs is a well-established risk factor for peptic ulcer disease. NSAIDs can irritate the stomach lining and increase the risk of ulcer formation.

A. "You should expect to recover fully within 1-2 weeks after the surgery." B. "The recovery time depends on the type of surgery and your overall health." C. "You can resume your normal activities immediately after the surgery." D. "Complete recovery may take up to 6 months after the surgery."

Correct Answer is B

Explanation

Choice A reason:

Recovering fully within 1-2 weeks after surgery for a peptic ulcer perforation may be overly optimistic. The recovery time is typically longer and depends on the individual's health status and the extent of the surgery.

Choice B reason:

This statement is correct. The recovery time after surgery for a peptic ulcer perforation varies depending on factors such as the type of surgery performed, the extent of the perforation, and the client's overall health. It may take several weeks to months for the client to fully recover.

Choice C reason:

Resuming normal activities immediately after surgery for a peptic ulcer perforation is not advisable. Clients usually require a period of rest and limited activity to allow proper healing.

Choice D reason:

Recovering fully in 6 months may be an extended recovery period. While some clients may experience a longer recovery, it is not a standard time frame for everyone.

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A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

Correct Answer is D

Explanation

A nurse is caring for a client who has undergone surgery for a peptic ulcer perforation. The client asks the nurse about the expected recovery time. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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